FRESENIUS MEDICAL CARE WEST GLENDALE
NPI 1396111886
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendale, CA

Active since August 19, 2015CLIA 05D2119627 · Waiver
623 S CENTRAL AVE, GLENDALE, CA 91204(818) 240-1063(818) 240-1107 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2023, Aug 16, 2021, Aug 9, 2018 (3 updates tracked since 2018).

About Fresenius Medical Care West Glendale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESENIUS MEDICAL CARE WEST GLENDALE (NPI 1396111886) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Glendale, California and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1396111886
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFRESENIUS MEDICAL CARE GLENDALE, LLC
Location Address623 S CENTRAL AVEGlendale, CA 91204-2008
Mailing Address623 S Central AveGlendale, CA 91204-2008 · (818) 240-1063 · Fax (818) 240-1107
Fax(818) 240-1107
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 19, 2015
Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
NPI 1396111886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
623 S CENTRAL AVE, Glendale, CA 91204

Other Names 1

Doing Business AsFresenius Medical Care West Glendale

Other Identifiers 1

Other552836CA · Ptan

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2119627

Fresenius Medical Care West Glendale · Glendale, CA
Active · expires Sep 29, 2026
CLIA Number05D2119627
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorSevag Balikian, MD
Laboratory Phone(818) 240-1053
Laboratory LocationFresenius Medical Care West Glendale623 S Central Ave, Glendale, CA 91204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresenius Medical Care Glendale, LLC's NPI number?

The NPI number for Fresenius Medical Care Glendale, LLC is 1396111886. It was assigned to this organization in the NPPES registry on August 19, 2015. The provider is doing business as Fresenius Medical Care West Glendale.

Where is Fresenius Medical Care Glendale, LLC located?

Fresenius Medical Care Glendale, LLC is located at 623 S Central Ave, Glendale, CA 91204. The listed phone number is (818) 240-1063.

What is Fresenius Medical Care Glendale, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Fresenius Medical Care Glendale, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2119627) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fresenius Medical Care Glendale, LLC accept?

Health plans from UnitedHealthcare list Fresenius Medical Care Glendale, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fresenius Medical Care Glendale, LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.